CRC/C/PAK/Q/3-4/Add.1

page 1

UNITED
NATIONS / CRC
/ Convention on the
Rights of the Child / Distr.
GENERAL
CRC/C/PAK/Q/3-4/Add.1
1 September 2009
Original:ENGLISH

COMMITTEE ON THE RIGHTS OF THE CHILD
Fifty-second session
14 September-2 October 2009

WRITTEN REPLIES BY THE GOVERNMENT of pakistan TO THE LIST OF ISSUES (CRC/C/pak/Q/3-4) PREPARED BY THE committee ON THE RIGHTS OF THE CHILD IN CONNECTION with the CONSIDERATION OF THE third and fourth PERIODIC REPORTs OF pakistan (CRC/C/pak/3-4)[*]

[Received on 12 August 2009]

CONTENTS

Paragraphs Page

PART 1...... 1-71

Question 1 ...... 1-8

Question 2 ...... 9-12

Question 3 ...... 13-15

Question 4 ...... 16-18

Question 5 ...... 19-21

Question 6 ...... 22

Question 7...... 23-41

Question 8...... 42-55

Question 9...... 56-57

Question 10...... 58-63

Question 11...... 64-68

Question 12...... 69-70

Question 13...... 71

PART II...... 72- 73

Question 1...... 72-73

PART III...... 74-90

Question 1 ...... 74-76

Question 2 ...... 77-80

Question 3 ...... 81

Question 4 ...... 82-83

Question 5 ...... 84

Question 6 ...... 85-86

Question 7...... 87-90

Additional and updated information on specific issues /questions raised by the Committee on the Rights of the Child on Pakistan’s third and fourth periodic reports on the implementation of the Convention on the Rights of the Child

PART I

Question1. Please provide information on progress made and obstacles met in incorporating the Convention into the national legal system as well as the remaining challenges in this respect. Please, indicate whether the laws implementing the Convention are systematically extended to all provinces and areas of Pakistan.

Progress made in incorporating the Convention into the national legal system

  1. The Government of Pakistan is fully committed to incorporate the provisions of the Convention on the Rights of the Child into its domestic laws. There have been a number of very important developments on this front during the last few years. In order to bring the legal system in conformity with the Convention, the Child Protection (Criminal Laws Amendment) Bill, 2009, the National Commission on the Rights of the Children (NCRC) Bill, 2009 and the National Child Protection Policy have been prepared in consultation with relevant stakeholders and are being moved to the Cabinet for approval. The provisions of the Convention have been amalgamated in the NCRC Bill 2009. The Bills will be presented before the Parliament soon after approval of the Cabinet. This set of laws will be extended to all provinces and to Provincially Administered Tribal Areas (PATA), Federal Administered Tribal Areas (FATA) and Federal Administered Northern Areas (FANA) as provided in article 247 of the Constitution.
  2. Additionally, the Federal Government is supporting a private members' bill; namely the Charter of Child Rights Bill, 2009, in the National Assembly as well. The Provincial Governments are in process of setting up child protection systems based on the general principles of the Convention.
  3. The Punjab Government has already put in place a comprehensive child protection mechanism through the Punjab Destitute and Neglected Children Act, 2004.
  4. The Sindh Government is setting up a child protection authority for the province through the Sindh Child Protection Authority Bill, 2009. The Bill has been duly vetted by the Law Department and being moved to the provincial assembly for its promulgation.
  5. The NWFP Government is considering to set up a Provincial Commission for the Welfare and Protection of Children under the NWFP Child Welfare and Protection Bill, 2009. Currently, the draft bill is being discussed with the stakeholders. Thereafter, the Department of Social Welfare will move that bill to the provincial assembly.
  6. The Balochistan Government has drafted a provincial child protection policy in line with the National Child Protection Policy. The draft policy is with the Law Department for approval. It will be sent to the Provincial Cabinet soon.
  7. The AJK Government is considering setting up a comprehensive child protection system through, the AJK Child Protection Authority Bill, 2009.
  8. In conclusion, the Federal and Provincial Governments are actively working for incorporating the Convention into their domestic legislation.

Question 2. Please provide updated information on the status of adoption of the Child Protection Bill and the National Child Protection Policy, and indicated the factors that may have obstructed their adoption. Could you please explain the expected effect of the adoption of the Child Protection Bill at Federal level as well as its effect on the provinces and please specify if this new law will be enforceable in all provinces and areas of Pakistan.

  1. The debate on the draft of the above-mentioned Bills and policy has taken considerably a long time. It took over three years for the Federal Government to develop consensus. Bringing all provinces to agree to a child protection law at the federal level has been a challenging task. After a long delay, the objective has been achieved. However, the work is not done yet. There will be challenges ahead with respect to the implementation of the policy and laws. The Government however remains committed to enact and implement this law in the most comprehensive manner.

Status of adoption of the Child Protection Bill and National Child Protection Policy

  1. The Child Protection (Criminal Laws Amendment) Bill, 2009 is being submitted to the Cabinet for presenting before the Parliament. Meanwhile, the National Child Protection Policy is being submitted shortly to the Cabinet for consideration/approval. The National Child Protection Policy, Child Protection (Criminal Law Amendment) Bill, 2009 and the NCRC Bill, 2009 have been approved by all provinces. The National Commission for Child Welfare and Development (NCCWD) does not see any hiccups in the promulgation of these laws.

Expected effect of the adoption of the Child Protection Bill at Federal level as well as its effect on the provinces

  1. By adopting the Bill, a conducive, child-friendly and protective environment will be created for the children at federal and provincial level. The perpetrators will be brought into book under various sections inserted in the Pakistan Penal Code (PPC) and Criminal Procedure Code (CrPC). The ratio of crimes will be decreased and controlled through adoption of the Bill.
  2. The Bill calls for harsher penalties for the offences against children. Corporal punishment will stand abolished with the introduction of a new offence in Pakistan Penal Code on “cruelty to children”. Child pornography and child sexual abuse has been defined and criminalized with severe penalties. It is believed that harsher penalties will bring the rate of crime against children down considerably. It also defines and criminalizes internal trafficking of children in Pakistan. Its promulgation will surely benefit children in the long run.

Question 3. Please elaborate on the level of coordination between the provincial and federal structures with regard to the implementation of the Convention.

  1. The National Commission for Child Welfare and Development (NCCWD) is the core body mandated for undertaking coordinated efforts for the implementation of the Convention on the Rights of the Child. For effective implementation of the Convention at federal level, the NCCWD has close coordination with the relevant stakeholders i.e. the Ministry of Education, Health, Labor and Manpower, Interior, Law and Justice, Women Development, Youth Affairs, the Law and Justice Commission of Pakistan and Civil Society Organizations. Subsequently, at the provincial level, it has coordination with relevant provincial departments i.e. Home, Social Welfare, Health, Education, Labour, Law, Women Development, and Civil Society Organizations, through its provincial chapters, Provincial Commissions for Child Welfare and Development (PCCWD)
  2. For the implementation of the Convention at the district level, the NCCWD has close coordination with the District Governments including District Commissions for Child Welfare and Development (DCCWDs) through the PCCWDs. The DCCWDs are instrumental in the implementation of the Convention at grass roots level in collaboration with the local non-governmental organizations and community-based organizations. The NCCWD has coordination with the AJK, FATA and FANA for effective implementation of the Convention.
  3. A National workshop of all the relevant stakeholders was recently organized for undertaking uniform legislative, administrative and programmatic measures to implement the Convention.

Question 4. Please inform the Committee on the progress made in establishing the Commission for the Welfare and Protection of the Rights of the Child and indicate whether the new Commission will have a mandate to monitor the implementation of the Convention and to receive and address complaints from children and if it will be provided with adequate resources to carry out its mandate.

  1. The present National Commission for Child Welfare and Development (DCCWD) will be replaced by the National Commission on the Rights of Children (NCRC) after the promulgation of the National Commission on the Rights of Children Bill, 2009. The name of the Commission was changed during the discussions with stakeholders on the issue. The NCRC will supervise, coordinate and effectively monitor implementation of the Convention on the Rights of the Child and report progress to the Committee on the Rights of the Child.
  2. The Bill provides for the establishment of “Child Rights Fund” to be utilized for promotion and protection of the rights and welfare of children and payment of compensation, fines or damages on behalf of a child in accordance with the orders of the Court. The Federal Government will contribute to the fund additional resources. The Bill also provides for undertaking research by the Commission where there are issues of public policy which impact or could potentially impact on children’s rights; and it empowers the Commission for granting licences for the establishment of children homes for children at risk. The Bill is being moved to the Federal Cabinet for approval. Later it will be presented before the Parliament.
  3. The Federal Government has already set up a Child Complaint Cell and working at the Ombudsman’s Secretariat (Wafaqi Mohtasib) at Federal level to redress the grievances of children. Child Complaint Cells are being established at the Ombudsman’s Secretariat at provincial level as well. The NCRC will be working very closely with this Child Complaint Cell.

Question 5. Please indicate whether the Child Protection Monitoring and Data Collection System has been established and, if so, explain the mechanisms in place to coordinate its work the same systems at provincial level. Please also briefly explain measures taken by the State party to address the financial and human resources constraints of the System’s monitoring body.

  1. The Child Protection Management Information System (CPMIS) has been established in the National Commission for Child Welfare and Development (NCCWD) with the financial and technical support of UNICEF. The system covers the areas of child protection like child sexual exploitation, juvenile justice, child trafficking, family and alternative care, and violence against children. The NCCWD has close coordination with Federal Ministries and Provincial Governments for the collection of information and data regarding the core areas of the CPMIS. This system uses the well known software for data collection and analysis, i.e.. Devinfo.
  2. Trainings on Devinfo software were organized for the staff of the PCCWDs and the AJKCCWD. A format has been jointly prepared for collection of relevant data. So far a cluster report has been prepared and circulated among the relevant stakeholders for undertaking informed decisions in the area of combating child abuse.
  3. The NCCWD has linkages and close coordination with the relevant Civil Society Organizations for collection of information on the core areas of the CPMIS. In order to address human and financial resource constraints of the CPMIS, the NCRC Bill 2009 provides for enhancing such resources. This system will form part of the NCRC.

Question 6. Please indicate how children belonging to religious and other minority groups non-citizens and refugee children are covered by the birth registration system.

  1. Under the National Database and Registration Authority (NADRA), minors under the age of 18 years are registered through issuing registration certificates irrespective of their religion and minority etc. The refugee children and non-citizens are registered separately and provided with identity cards identical to those provided to citizens.

Question 7. Please indicate whether the schedule of implementation of the National Maternal, Newborn and Child Health (MNCH) Program has been followed, and if expected results have been achieved, notably as regards the reduction of maternal, neonatal and child mortality and morbidity.

  1. National MNCH Strategy was developed on 2 April 2005. The PC-1 of the programme was approved by the Executive Committee of the National Economic Council (ECNEC) on 7 March 2007. The programme duration is for the period of 2006/07 to 2011/12. The development partners supporting the Ministry of Health for the implementation of the programme are USAID, UNFPA, UNICEF, CIDA and WHO. The programme implementation is on track and according to schedule. The programme is instrumental in the reduction of maternal, neonatal and child mortality and morbidity. However, concrete results of the programme can only be seen after its evaluation.
  2. Priority areas of the National Maternal, Newborn and Child Health (MNCH) Program are:

(a)Comprehensive and integrated MNCH services at the district level;

(b)Community-based skilled birth attendants;

(c)Comprehensive family planning services at the health facilities;

(d)Advocacy and demand creation;

(e)Management and organizational reform; and

(f)Monitoring and evaluation Framework.

  1. Achievements of the programme are as follows:-

(a)Assessment of planning monitoring system and capacity development needs developed;

(b)Monitoring and Evaluation Framework developed;

(c)Option paper on Strengthening Planning Function on Human Resource developed;

(d)Communication Strategy for the MNCH Program developed; and

(e)Based on the Agreed Best Practices “Advocacy Kit” developed.

Comprehensive Emergency Obstetric and Neonatal Care (CEmONC) Services

  1. In Punjab province, all District Head Quarter Hospitals (DHQH) are providing 24/7 CEmONC services. An amount of Rs. 21 million have been transferred to districts for renovation of hospitals. Around 27 doctors are under training in anaesthesia at the post Graduate Medical Institute, Lahore. Punjab plans to upgrade all Tehsil (Sub-district) Head Quarter Hospitals (THQH) by next year through the Punjab MDG Programme. Staff has been trained on EmONC and PG doctors associated with four districts. UNICEF has conducted trainings on EmONC monitoring tools and online EmONC data entry software for health facility staff of these districts.
  2. In Sindh, 12 DHQHs and 12 Tehsil THQHs are providing CEmONC services. In the NWFP, 18 hospitals are providing CEmONC services; the remaining five will be fully functional in the near future.
  3. In Balochistan, focus is on ten districts in the first phase. Repair work of two health facilities is completed. In the AJK all hospitals are providing CEmONC. Need assessment for equipment required has been completed and procurement is in process. In FATA strengthening of hospitals is in process.

Employment of Community Midwives (CMW)

  1. In Punjab, 2749 CMW students have been enrolled (1348 under MNCH; 762-PAIMAN; 209-UNICEF; 139-UNFPA; and 301 Reproductive Health and Population Program-RHPP). The programme will absorb all CMWs meeting the criteria. 1011 students (75 per cent) out of 1427 have cleared the exam in Dec 2008 and are ready to be deployed. Rs. 112 million have been provided to districts for construction/ renovation of CMW schools. The CMW students are enrolled in 28 out of 42 midwifery schools.
  2. In Sindh, 1022 CMW Students are enrolled for training (including 207 from PAIMAN and 29 from UNFPA). Out of which, 57 CMWs from the Pakistan Initiative for Mothers and Newborns (PAIMAN) (43 in Dadu and 14 in Sukkur) have passed out and waiting for deployment. Around 700 CMWs are also getting training under Benazir Youth Program. 12 midwifery and five public health nursing schools are imparting training to CMWs. 86 midwifery tutors have been trained in Aga KhanUniversity (40 with the coordination of UNICEF and 46 tutors trained by PAIMAN. Recruitment of 36 CMW tutors for new schools is under way. Renovation work in six midwifery/ nursing schools has been started. Sixteen new CMWs are to be established.
  3. In the NWFP, 737 CMW students are under training. Program is planed to make functional CMWSchool in Battagram next year. Twenty-two CMWs out of planned 23 are functional. Sixteen tutors have been trained at the Pakistan Institute of Medical Sciences (PIMS) with PAIMAN support. Another batch of 17 tutors will be trained in May 2009 at PIMS. Nurses are getting training at Abuzar Institute in Karachi. Orientation workshops have been conducted for all CMW tutors in the province. Teaching aids, computers and office equipment procurement under process.
  4. In Balochistan, 247 CMW students are under training (including 24 with PAIMAN and 80 with UNFPA support). In addition, 95 CMW have already completed their training. Eight to 15 CMW schools are functional in Balochistan (Khuzdar, Noshki, K.S.ullah, Sibi, Turbat, Quetta, Loralai and Dalbandin). Construction of the CMWSchool in Dalbandin and hostel at Gawadar started. The prequalification for the construction of new CMW schools in DM Jamali, Laoralai (hostel) and Qila Saifullah (hostel) has been completed. In the AJK, 136 CMWs are under training and 148 planned for 2009/10. Three midwifery schools are made functional. In FATA, 84 CMWs are under training including 51 with PAIMAN support. Two MW schools will be made fully functional for which tutors have been recruited.

Training

  1. In Punjab, 70 trainers have been trained in facilitators’ training for Integrated Management of Newborn and Childhood Illnesses (IMNCI) (48 by UNICEF and 22 by MNCH Program). Thirty-six IMNCI training courses (each lasting 11 days) have been conducted for 1002 health staff (570 by UNICEF, 224 by MNCH Programme and 130 by PAIMAN). MNCH Programme is initially focusing on 12 districts. Four workshops have been conducted on Essential Newborn Care in collaboration with UNICEF for staff of District Shiekhupura, Kasur and Nankana. In addition to master trainers trained at PIMS, 103 lady doctors (gynaecologists and WMOs have been trained as master trainers in four EmoNC trainings. Nine EmONC training courses have been organized in which 201 staff were trained including 151 WMOs, 17 nurses and 136 LHVs. Five hundred EmONC Manuals have been printed for training.
  2. In Sindh, 57 Master Trainers Trained in IMNCI with the help of UNICEF. 438 health Staff have been trained during an 11 days course (including 183 by UNICEF, 49 by PAIMAN and 20 by WHO support). 29 master trainers have been trained to impart EmONC training. Nine hundred ninety-three health staff have been trained on EmONC (including 768 by UNICEF and 21 by WHO).
  3. In the NWFP, 144 health-care providers have been enrolled in an 11- day clinical course on IMNCI. Health-care providers in Abbottabad have already been trained on IMNCI with WHO and UNICEF support (Pilot phase). One hundred and fifty-one health providers have been trained on EmONC in six training courses.
  4. In Balochistan, two IMNCI Facilitator training courses have been conducted. Four IMNCI training courses have been conducted in Quetta and Turbat and six EmONC courses (two in Qatar hospital Karachi, one at Turbat and three at Quetta). Three hundred and fifty-four health providers were trained on EmONC
  5. In the AJK, one provincial master trainer workshop and five district workshops were organized for IMNCI in which 83 staff have been trained. One provincial master trainer workshop and two district workshops were organized for EmONC in which 38 staff were trained. One provincial master trainer workshop and two district workshops were organized for ENC in which 17 staff were trained. Two EmONC monitoring workshops were held in which 40 staff were trained.
  6. In FATA, in ten trainings, 206 health providers have been trained on IMNCI. One IMNCI facilitator training course was conducted in which 12 doctors were trained. Two training courses on EmONC were conducted in which 60 staff were trained.

Establishment of district management units